Notice of Privacy Practices
Effective Date: October 8, 2026
THIS NOTICE DESCRIBES HOW MEDICAL AND DENTAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.
Beacon Dental is required by law to maintain the privacy of your Protected Health Information (“PHI”), provide you with notice of our legal duties and privacy practices concerning your PHI, and notify you following a breach of unsecured PHI. We are required to follow the privacy practices described in this Notice while it is in effect.
We reserve the right to change our privacy practices and the terms of this Notice at any time, as permitted by law. Any changes may apply to all PHI we maintain, including information created or received before the changes were made. An updated Notice will be made available in our office and on our website.
How We May Use and Disclose Your Health Information
We may use and disclose your health information for purposes related to your treatment, payment for services, and our healthcare operations.
Treatment
We may use and disclose your health information to provide, coordinate, or manage your dental care and related services. For example, we may share relevant information with dentists, dental specialists, physicians, laboratories, pharmacies, or other healthcare providers involved in your care.
Payment
We may use and disclose your health information to obtain payment for services provided to you. This may include billing, claims processing, determining insurance eligibility or benefits, obtaining prior authorization when applicable, and communicating with dental or health insurance providers.
Healthcare Operations
We may use and disclose your health information for activities necessary to operate our dental practice. These activities may include quality assessment and improvement, staff training, licensing and credentialing, compliance activities, business management, and other administrative functions.
Other Permitted Uses and Disclosures
We may also use or disclose your PHI without your written authorization when permitted or required by law, including in the following circumstances:
- Individuals Involved in Your Care – We may share relevant information with family members, caregivers, or others involved in your care or payment for your care, when permitted by law.
- Required by Law – We may disclose information when required by federal, state, or local law.
- Public Health Activities – We may disclose information for certain public health activities, such as preventing or controlling disease, injury, or disability.
- Health Oversight Activities – We may disclose information for authorized audits, investigations, inspections, licensing activities, or other government oversight activities.
- Law Enforcement – We may disclose information to law enforcement officials when permitted or required by law.
- Judicial and Administrative Proceedings – We may disclose information in response to certain court or administrative orders, subpoenas, discovery requests, or other lawful processes.
- Workers’ Compensation – We may disclose information as necessary to comply with workers’ compensation laws and similar programs.
- Serious Threats to Health or Safety – We may disclose information when necessary and permitted by law to prevent or reduce a serious and imminent threat to the health or safety of a person or the public.
- Research – We may use or disclose information for research when the research has been appropriately authorized or otherwise meets applicable legal requirements.
Certain categories of health information may be subject to additional protections under federal or state law, including certain mental health information, substance use disorder treatment records, genetic information, and other specially protected health information.
Uses and Disclosures Requiring Authorization
Uses and disclosures of your PHI that are not otherwise permitted or required by law will generally be made only with your written authorization.
Written authorization may be required for certain uses and disclosures, including:
- Most uses and disclosures of psychotherapy notes, when applicable
- Certain marketing communications involving PHI
- The sale of PHI
If you provide us with written authorization, you may revoke that authorization at any time by providing us with written notice. Your revocation will not affect actions already taken in reliance on your authorization before we received your revocation.
Your Rights Regarding Your Health Information
You have certain rights regarding the health information we maintain about you.
Right to Access
You have the right to inspect and obtain a copy of certain health information maintained about you, subject to limitations permitted by law. In many circumstances, you may request an electronic copy if the information is maintained electronically.
Right to Request Amendments
You may request that we amend health information about you if you believe it is incorrect or incomplete. We may deny your request under certain circumstances permitted by law.
Right to Request Restrictions
You may request restrictions on certain uses or disclosures of your health information. We are not required to agree to every requested restriction except in certain circumstances required by law.
Right to Confidential Communications
You may request that we communicate with you about your health information in a particular way or at a particular location. We will accommodate reasonable requests as required by law.
Right to an Accounting of Disclosures
You may request an accounting of certain disclosures of your health information made by Beacon Dental during the period permitted by law. Certain disclosures, including many disclosures for treatment, payment, and healthcare operations, may not be included in this accounting.
Right to a Paper Copy
You have the right to request a paper copy of this Notice at any time, even if you have previously agreed to receive it electronically.
Right to Breach Notification
You have the right to receive notification following a breach of your unsecured PHI when notification is required by law.
Complaints
If you believe your privacy rights have been violated, you may file a complaint with Beacon Dental. You may also file a complaint with the Secretary of the U.S. Department of Health and Human Services.
Beacon Dental will not retaliate against you for filing a complaint or exercising any of your privacy rights.
Contact Information
If you have questions about this Notice, would like additional information about our privacy practices, or would like to exercise one of the rights described above, please contact:
Beacon Dental
7200 Dan Hoey Road, Suite D
Dexter, MI 48130
Phone: (734) 424-9671
Email: beacondental08@gmail.com